Professional Documents
Culture Documents
Physician Employment contracts vary from state to state and contracts should be tailored
to appropriate state laws and the contracting norms of the area. Below are provisions taken from
a variety of contracts some of which come from a large organization employing physicians in
multiple states. These provisions are not necessarily provided as examples of the best language,
and may or may not be enforceable in some jurisdictions, including the ones in which they are
being used. Rather they are provided to show how employers are addressing some of these
issues. Selections were made from these particular contracts in order to provide more generic
provisions that are being used. Many of the provisions have been partially modified.
Restrictive Covenant. Employer and Employee acknowledge and agree that a strong
relationship and connection exists and will be further developed between Employer and its
current and prospective patients, referral sources, and customers as well as the hospitals and
healthcare facilities at which it provides professional services and that Employer’s goodwill is
inextricably intertwined with such relationships and connections. Employer and Employee
further acknowledge and agree that the restrictive covenants described in this Section are
designed to enforce, and are ancillary to or part of, the promises contained in this Agreement and
are reasonably necessary to protect the legitimate interests of Employer in the following: (1) the
use and disclosure of the Confidential Information; (2) the professional development activities
described in this agreement; (3) the mutual interests between and among all physicians employed
by Employer, to promote the interests of the Employer and of each other without concern that
such efforts may be used for the benefit of third-parties; (4) the goodwill of the Employer, as
promoted by Employee; (5) the promotion of Employee’s proficiency, reputation and goodwill
by Employer by the use of its Practice Management Methods, Confidential Information and trade
secrets; and (6) the protection of Employer’s Billing Practices, Confidential Information and
trade secrets. The foregoing listing is by way of example only and shall not be construed to be an
exclusive or exhaustive list of such interests. Employee acknowledges that the restrictive
covenants set forth below are of significant value to Employer and were a material inducement to
Employer in (i) agreeing to this Agreement, (ii) disclosing to Employee of Employer’s
Confidential Information and trade secrets, and (iii) further investing in the Practice. Employee
further acknowledges that the goodwill and other proprietary interest of Employer will suffer
irreparable and continuing damage in the event Employee enters into competition with
Employer.
This Section is not intended to deprive Employee of the ability to make a living as a
physician. It is acknowledged and agreed by the parties hereto that the restrictive covenants in
this agreement have been narrowly tailored to prohibit Employee from working in competition
with Employer within the limited geographic area described above and that they are reasonable
and necessary to protect Employer’s legitimate business interests and goodwill and are not
burdensome to Employee or merely punitive or arbitrary in nature, and that Employee shall be
able to earn a living while complying with such restrictive covenants.
Restrictive Covenant. Physician agrees and acknowledges that the covenants contained
in this Section are reasonable and necessary for the protection of the interests covered in the fully
enforceable and ancillary agreements contained in this Agreement, including, without limitation,
the covenants contained in this Section. With the exception of the services and duties that
Physician performs for Employer or on Employer's behalf pursuant to the terms of this
Agreement, Physician agrees that during the Agreement Term and for a period of one (1) year
after the termination of the Agreement Term for any reason whatsoever, Physician shall not: i)
Within a ten (10) mile radius of the Practice, as determined at the time of termination, (the
"Restricted Territory") (a) engage in any medical practice, engage in any business, or perform
any service, directly or indirectly, in competition with the medical services of Employer, (b)
have any interest, whether as a proprietor, partner, employee, shareholder, principal, agent,
consultant, director, officer, or in any other capacity or manner whatsoever, in any enterprise that
shall so engage in medical services, or (c) have any financial interest in any inpatient or
outpatient healthcare facility (other than a financial interest of less than five percent (5%) of the
issued and outstanding stock of a publicly-traded corporation or a financial interest in a facility
owned or operated by an Affiliate of Employer), in each case, that is located in, provides services
in, or does any business whatsoever within, the Restricted Territory; or ii) Knowingly solicit,
recruit or hire any person who is or was an employee of Employer within the six months
preceding the termination.
Intellectual Property
Employee agrees that the terms of this Agreement shall be deemed Confidential
Information for purposes of this Section X. Employee shall keep the terms of this Agreement
strictly confidential and will not, without the prior written consent of Employer, disclose the
details of this Agreement to any third party in any manner whatsoever in whole or in part, with
the exception of Employee’s representatives (such as tax advisors and attorneys) who need to
know such information.
Alternative Language
Base Salary
A. Base Salary. For all services rendered by Employee pursuant to this Agreement and for
Employee’s compliance with the obligations described in this Agreement, and in addition to
other monetary or fringe benefits referred to herein, Employee shall receive an annual base
salary (the “Base Salary”) as follows:
1. From the Effective Date up to the date prior to the first anniversary of the
Effective Date (“Year One”), Employee shall receive a Base Salary in the amount of
______________ per year.
2. From the first anniversary of the Effective Date up to the date prior to the second anniversary
of the Effective Date (“Year Two”), Employee shall receive a Base Salary in the amount of
______________.
3. From the second anniversary of the Effective Date up to the date prior to the third anniversary
of the Effective Date (“Year Three”), Employee shall receive a Base
Salary in the amount of _________________.
Absent an adjustment to Base Salary in any renewal periods, the amount of the Base Salary
during Year Three shall continue as Employee’s Base Salary during any renewal periods. Any
adjustment to the Base Salary for renewal periods, if applicable, shall be mutually agreed upon in
writing by Employee and Employer.
B. Payment of Base Salary. The Base Salary shall be payable in installments consistent with
Employer’s normal payroll schedule, subject to applicable withholding and other taxes.
D. Payment Under Physician Performance Incentive Program. The physician bonus, if any,
shall be payable pursuant to the terms and conditions of the Incentive Program then in effect.
The distribution of any such bonus among the Practice physicians shall be determined by the
Medical Director and any payment to Employee shall be approved in advance by the Regional
President. In no event shall a payment to an individual physician be based directly on such
physician’s orders or referrals of Designated Health Services (as defined in 42 U.S.C. sec.
1395nn(h)(6)).
Compensation per wRVU Calculation Method and Annual Updates. The same
Calculation Method used to calculate the initial dollars per wRVU conversion factor set forth
above will be used to update the conversion factor as of each one year anniversary of the
Effective Date of this Agreement. Physician agrees that a uniform dollars per wRVU conversion
factor will be used with all physicians in the Practice Specialty and updated annually. The
uniform dollars per wRVU conversion factor used to determine Physician compensation will be
updated on each one year anniversary of the Effective Date of this Agreement, using the most
recently calculated uniform dollars per wRVU value calculated as set forth above. Physician
agrees that the update and use of the updated wRVU conversion factor determined using the
Compensation Method described above will occur on each anniversary of the Effective Date of
this Agreement without separate amendment of this Agreement or separate consent by Physician.
Upon the termination of this Agreement regardless of the reason for termination,
Physician shall be required to maintain in effect, at Physician’s sole cost, an extended reporting
endorsement, commonly referred to as “tail coverage,” or other continuation of professional
liability insurance insuring the Employer and Physician for claims made as a result of
Physician’s services rendered during the term of this Agreement. Any such coverage shall be at
the limits of coverage, terms and deductible as the coverage maintained by the Employer prior to
Physician’s termination. Physician shall provide the Employer with satisfactory evidence of
such coverage, and if satisfactory evidence is not received by the Employer upon demand, then
the Employer shall have the right to pay the premium for any such coverage and withhold the
amount of said premium from any amounts owed to Physician. In the event that the amount of
the premium exceeds any amounts owed to Physician, then the Physician shall repay the
Employer the remaining amount with in 5 days of notice by the Employer. The Employer shall
have the right to collect on any unpaid amount by the Employee and shall be entitled to interest,
costs and attorneys fees related to such collection.
In the event that, prior to the first anniversary of the Effective Date, Employee terminates
this Agreement pursuant to Section _______ or Employer terminates this Agreement pursuant to
Section _________, Employee shall reimburse Employer all amounts received from Employer
pursuant to this Section within five (5) business days after notice of termination of this
Agreement.
Sign-On Bonus. Employer shall pay Employee a sign-on bonus in the amount of
_____________________ (the “Sign-on Bonus”) as follows: (i) fifty percent (50%) shall be paid
within thirty (30) days after the completion by Employee of all applications and other
documentation necessary for Employee’s hospital privileges and participation in managed care
plans; and (ii) fifty percent (50%) shall be paid within thirty (30) days after Employee’s first day
of work hereunder, provided that Employee has completed Employer’s compliance training. In
the event Employee fails or refuses to commence work on the Effective Date or, for whatever
reason, does not remain employed with Employer for the entire Initial Term (as defined below),
Employee shall reimburse Employer the Sign-on Bonus within five (5) business days after notice
of termination of this Agreement as follows: (a) if such termination occurs prior to the first
anniversary of the Effective Date, then Employee shall reimburse Employer 100% of the Sign-on
Bonus; (b) if such termination occurs on or after the first anniversary of the Effective Date but
prior to the second anniversary of the Effective Date, then Employee shall reimburse Employer
66% of the Sign-on Bonus; and (c) if such termination occurs on or after the second anniversary
of the Effective Date but prior to the third anniversary of the Effective Date, then Employee shall
reimburse Employer 33% of the Sign-on Bonus. Employee acknowledges that the restrictive
covenant set forth in Section _____ was a material inducement to Employer paying the Sign-on
Bonus described above.
Termination
1. (a) This Agreement shall automatically terminate upon the death of Employee.
(b) Subject to applicable State and federal law, Employer may terminate this Agreement
in the event Employee shall have a Disability for ninety-one (91) days or more in any one
hundred twenty (120) consecutive day period.
2. This Agreement may be terminated immediately by Employer for “Cause.” For purposes
of this Agreement, the term “Cause” shall mean:
(a) any act or omission of Employee that is contrary to the business interests, reputation
or goodwill of Employer or its affiliates;
(b) the failure of Employee to obtain and maintain at all times throughout the Initial Term
(and any renewal thereof) an unrestricted license to practice medicine in the State;
(c) the failure of Employee to obtain and maintain at all times throughout the
Initial Term (and any renewal thereof) medical staff membership and appropriate clinical
privileges at Hospital(s);
(d) the conviction of or a plea of no contest by Employee of any misdemeanor offense
that adversely affects Employee’s ability to carry out Employee’s obligations hereunder or any
felony offense;
(e) the revocation or suspension of Employee’s right to participate in Medicare,
Medicaid, Tricare or any other governmental payor programs;
(f) Employee’s failure or refusal to comply with Employer’s workplace conduct policies
relating to substance abuse, sexual harassment, other unlawful harassment, or work place
discrimination;
(g) Employee’s failure or refusal to comply with any other policy, standard or regulation
of Employer (including, but not limited to, adherence to Employer’s on-call schedules, weekend
call schedules, or other office policies and procedures) which failure is not cured within ten (10)
days after receipt by Employee of written notice of such failure; provided, however, that such
notice and cure rights shall not be applicable in the case of material acts of misconduct that
expose Employer to liability;
(h) Employee’s failure to provide professional medical services within the standard of
care described in Section III.A;
(i) the inability of Employer to obtain or maintain professional liability insurance as
described in Section ____ covering Employee at coverage levels and at rates substantially
commensurate with that of Employer’s other physician employees in the same geographic area;
(j) Employee commits any act which creates an offensive work environment for
employees or contractors of Employer or the Hospitals and/or disrupts the work environment of
the Practice or the Hospital;
(k) Employee’s inability to work with and relate to others, including, but not limited to,
Practice patients and staff, in a respectful, cooperative and professional manner; or
(l) Employee’s failure to comply with any other duty or obligation of Employee under
this Agreement which failure is not cured within ten (10) days after receipt by Employee of
written notice of such failure.
4. This Agreement may be terminated by either party at any time without cause by giving at
least ninety (90) days prior written notice. In the alternative, Employer may terminate this
Agreement at any time by paying Employee three (3) months’ Base Salary in full and
complete satisfaction of any and all claims for compensation and benefits under this
Agreement.
5. If Employee determines not to renew this Agreement upon the expiration of the Initial
Term or any renewal term, Employee shall provide Employer with written notice of
Employee’s intent not to renew this Agreement at least ninety (90) days prior to
expiration hereof.
6. Upon termination of this Agreement for any reason, Employee shall receive no further
compensation from Employer except for payments of Base Salary for services rendered
prior to the effective date of termination of this Agreement.